Doctor Name: | ERIN MARIE SULLIVAN |
NPI Number: | 1053640888 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00269000 |
Business Practice Address: | 1925 Pacific Ave Hospitalist Program Office Atlantic City, NJ - 084016713 |
Business Phone Number: | 6094418146 |
Business Fax Number: | 6094418002 |
Mailing Address: | 1925 Pacific Ave, ATLANTIC CITY |
State: | NJ |
Postal Code: | 084016713 |
Phone Number: | 6094418146 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 02/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 26NJ00269000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |